However, because not all G6PD-deficient newborns have NNJ ( Table 18-6 ), it is likely that genetic or environmental factors (or both) are involved in addition to G6PD deficiency and that the same factors that are more extreme can also make the NNJ more severe
Aono S, Yamada Y, Keino H, Sasaoka Y, Nakagawa T, Onishi S et al
H (400 MHz, MeOD): 4.77 (1 H, dd, J = 9.5, 4.4 Hz, H-4), 4.04 (1 H, t, J = 6.3 Hz, H-1), 3.90 (1 H, d, J = 17.7 Hz, H-6 A or B ), 3.85 (1 H, d, J = 17.7 Hz, H-6 A or B ), 3.483.36 (4 H, m, PCH 2 + H-7), 3.323.25 (1 H, m, H-5 A or B partially obscured by residual peaks in NMR solvent), 3.243.15 (2 H, m, H-8), 2.95 (1 H, dd, J = 13.9, 9.5 Hz, H-5 A or B ), 2.58 (2 H, t, J = 7.1 Hz, H-3), 2.312.11 (2 H, m, H-2), 1.781.65 (2 H, m, CH 2 ), 1.651.52 (4 H, m, CH 2 )
Thus, roGFP2 oxidation by PfGrx occurs preferentially via a glutathione-dependent monothiol and not a glutathione-independent dithiol mechanism (Fig